| Hhc Diabetic Care Center | |
|
238 N Waco St Wichita KS 67202-1108 | |
| (316) 303-9595 | |
| (316) 303-9788 |
| Full Name | Hhc Diabetic Care Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 238 N Waco St, Wichita, Kansas |
| Authorized Official Name and Position | Susette M Schwartz (CEO) |
| Authorized Official Contact | 3162623611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hhc Diabetic Care Center 2318 E Central Ave Wichita KS 67214-4436 Ph: (316) 262-3611 | Hhc Diabetic Care Center 238 N Waco St Wichita KS 67202-1108 Ph: (316) 303-9595 |
| NPI Number | 1265508337 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 07/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265508337 | NPI | - | NPPES |
| 003947 | Other | KS | BCBS GROUP |
| 100212200G | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Kansas) | Primary |
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